การสังเคราะห์รูปแบบการดูแลเพื่อควบคุมระดับน้ำตาลในเลือด ของผู้ป่วยเบาหวานชนิดที่ 2 ในประเทศไทย

Kawinwara Nawinprasert; Chommanard  Wannapornsiri; Monrudee  Popijan

Authors

Kawinwara Nawinprasert Faculty of Nursing, Pibulsongkram Rajabhat University
Chommanard Wannapornsiri Faculty of Nursing, Pibulsongkram Rajabhat University
Monrudee Popijan Faculty of Nursing, Pibulsongkram Rajabhat University

Keywords:

care model, type 2 diabetes, blood sugar control

Abstract

Introduction: Diabetes is a chronic disease that is common in adults and the elderly. High blood sugar levels can lead to complications in various organs and systems of the body, leading to severe and life-threatening conditions. Controlling blood sugar levels to within normal limits is crucial for reducing the risk of these complications.

Research Objectives: To synthesize a care model for blood sugar control in patients with type 2 diabetes in Thailand.

Research Methodology: This study was a research document related to the care of patients with type 2 diabetes in Thailand. Articles published between 2012 and 2021 were searched from academic journal databases. A total of 52 articles were analyzed using statistical analysis and content analysis.

Results: The care model for controlling blood sugar levels in patients with type 2 diabetes in Thailand was divided into two groups: 1) self-management promotion programs and 2) specific care methods, mostly using self-management frameworks (42.30%). The outcomes were measured by checking the accumulated blood sugar levels and measuring health indices, knowledge, behavior, and quality of life (30.77%). The results showed no difference in blood sugar levels between the intervention and control groups (26.92%).

Conclusions: The findings of this study demonstrate the importance of controlling blood sugar levels in patients with type 2 diabetes and focus on encouraging patients with diabetes to self-manage. However, some studies have found that the form of care does not cause changes in blood sugar levels in patients with type 2 diabetes.

Implications: A meta-analysis should be conducted to analyze and synthesize care models for controlling blood sugar levels in patients with type 2 diabetes, and further research in foreign countries should be conducted.

Downloads

Download data is not yet available.

References

International Diabetes Federation. IDF Diabetes Atlas 10th edition [Internet]. 2021 [cited 2023 Mar 16]. Available from: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas10th_Edition_2021.pdf

Ministry of Public Health. Group report standard: illness with critical NCDs [Internet]. 2021 [cited 2022 Jan 15]. Available from: http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020. (in Thai)

Division of Non-Communicable Diseases, Department of Disease Control. Details of indicators to monitor the quality of non-communicable diseases (diabetes and hypertension) services for the fiscal year 2022 [Internet]. 2021 [cited 2022 Jan 15]. Available from: https://hdcservice.moph.go.th/hdc/reports/page_kpi.php?flag_kpi_level=9&flag_kpi_year=2023. (in Thai)

International Diabetes Federation: IDF. Diabetes on the global. [Internet]. 2021 [cited 2021 July 1]. Available from: https://idf.org/our-activities/advocacy-awareness/diabetes-on-the-global-agenda.html

Hurst CP, Rakkapao N, Hay K. Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multicenter study in Thailand. Public Library of Science One 2020;15(12):1-14.

Wongsin U, Wannasri A. Unit cost of diabetes care: a case study of a general hospital in Thailand. Journal of the Department of Medical Services 2018;43(6):45-9. (in Thai)

Harding JL, Pavkov ME, Magliano DJ, Shaw JE, Gregg EW. Global trends in diabetes complications: A review of current evidence. European Association for the Study of Diabetes 2019;62(1):3–16.

Li Z, Lei X, Xu B, Wang S, Gao T, Hongmei LV. Analysis of risk factors of diabetes peripheral neuropathy in type 2 diabetes mellitus and nursing intervention. Experimental and Therapeutic Medicine 2020;20(6):1-8.

Saengai A, Suphunnakul P. Risk factors affecting complications among patients with type 2 diabetes in Mueang District, Phitsanulok Province. Eau Heritage Journal Social Science and Humanities 2018;12(3):200-12. (in Thai)

World Health Organization. Diabetes updated [Internet]. 2023 [cited 2023 Mar 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

Meebunmak Y, Srisaket J, Phokwang W, Homnan K. A systematic review on health care programmes for older adults with diabetes mellitus. Nursing Journal of the Ministry of Public Health 2018;72(4):72-89. (in Thai)

Sattayasomboon T, Sattayasomboon Y. Hypertension and Type 2 Diabetes Mellitus patients: a systematic review on the Chronic Care Model (CCM) and Self-Management Support (SMS). The Southern College Network Journal of Nursing and Public Health 2020;7(2):232-43. (in Thai)

Scott J. Documentary research. London: Sage; 2006.

Murad MH, Montory VM, Ioannidis JP, Jaeschke R, Devereaux PJ, Prasad K, et al. How to read a systematic review and meta-analysis and apply the results to patient care: user’ guides to medical literature. Journal of the American Medical Association 2014;312(2):171-9.

Sikaow O. Diabetes Management: Disease Dimensions and Nurse Role. 4th ed. Samut Prakan: Journalism Project, Huachiew Chalermprakiet University; 2018. (in Thai)

Regeer H, Empelen PV, Bilo JG, Koning JP, Huisman SD. Change is possible: How increased patient activation is associated with favorable changes in well-being, self-management and health outcomes among people with type 2 diabetes mellitus: A prospective longitudinal study. Patient Education and Counseling 2022;105(4):821–7.

Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001 Nov-Dec;20(6):64-78. doi: 10.1377/hlthaff.20.6.64. PMID: 11816692.